nuggets of knowledge: copd - devon training hub · abc 3 approach modified from gold 2020 ....
TRANSCRIPT
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Aims of the session
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Diagnosis
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Symptoms
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Risk factors
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Key features of quality spirometry
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Treatment aims
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GOLD 2020 guidance
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Modified MRC v CAT
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Annual exacerbation rate
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NICE 2019
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NICE 2019
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NICE 2019
SABA SAMA
No asthma? LABA LAMA
Consider triple therapy
Reversible element?
ICS LABA
Consider triple therapy
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GOLD 2020 guidance
or ≥ 1 leading to hospital admission
(not leading to hospital Admission)
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Initial treatment choices: GOLD
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Inhaler choice - considerations
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Brand name LABA – name
and dose per
puff
LAMA - name
and dose per
puff
Device Dose
Anoro ™ Vilanterol
22mcg
Umeclidinium
55mcg
Ellipta 1 puff once daily
Duaklir ™ Formoterol
12mcg
Aclidinium
340mcg
Genuair 1 puff twice
daily
Ultibro ™ Indacaterol
110mcg
Glycopyrronium
50mcg
Breezhaler 1 puff once daily
Spiolto ™ Olodaterol
2.5mcg
Tiotropium
2.5mcg
Respimat 2 puffs once
daily
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Eosinophils and ICS: GOLD 2020
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200/6 or 400/12
92/22 only
160/4.5 or 320/9
100/6
100/6
200/6
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Moving up
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Triple therapy
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ABC 3 approach Modified from GOLD 2020
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COVID-19 and COPD
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Greg age 57
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Resources